Year Body Style
Expiration Date
Make
City State ZIP
Must Be Carried In Vehicle At All Times, until new registration and plates are received.
Fold and detach here. PERMIT MUST BE CARRIED IN VEHICLE AT ALL TIMES.
Vin: Issue Date:
To be mounted to rear of vehicle.
15-1040 R12/19
Plate Number
Owner Name or Company Name
Vehicle Identification Number
Street Address


 
Ford
00684AP
10/17/2019
1FTSX30F2YEC84790
10/14/2019
10/17/2019
Charles Elmer Smith
1FTSX30F2YEC84790
Sierra Vista
AZ